15-R-0031_RFP_Solicitation.docx

N68936-15-R-0031

Section A - Solicitation/Contract Form

CLAUSES INCORPORATED BY FULL TEXT

FOR YOUR INFORMATION:

The following addresses and points of contact are provided:

Contract Specialist

Email address: rachelle.stacy@navy.mil

U.S. Postal Service Mailing Address:

Direct Delivery Address (UPS, FedEx, etc):

Contracting Officer

Email address: helen.xiong@navy.mil

U.S. Postal Service Mailing Address:

Direct Delivery Address (UPS, FedEx, etc):

Section B - Supplies or Services and Prices

Labor, Base Year T&M The Contractor shall provide medical evaluation services in accordance with Section C of the Performance Work Statement. The fully burdened hourly rate of a Psychologist is _____________. The fully burdened hourly rate of a Psychiatrist is ______________.

FOB: Destination

PURCHASE REQUEST NUMBER: 1300491560

TOT ESTIMATED PRICE

CEILING PRICE

Medical Tests, Base Year

FFP

The Contractor shall provide medical tests in accordance with Section C of the Performance Work Statement.

NET AMT

Lot

Travel, Base Year

COST

The Contractor will provide travel in accordance with Section C of the Performance Work Statement.

ESTIMATED COST

DATA, Base Year

FFP

The Contractor shall proivde reports in accordance with Section C of the Performance Work Statement.

NET AMT

T&M The Contractor shall provide medical evaluation services in accordance with Section C of the Performance Work Statement. The fully burdened hourly rate of a Psychologist is _____________. The fully burdened hourly rate of a Psychiatrist is ______________.

TOT ESTIMATED PRICE

CEILING PRICE

FFP

The Contractor shall provide medical tests in accordance with Section C of the Performance Work Statement.

NET AMT

Lot

COST

ESTIMATED COST

FFP

NET AMT

T&M The Contractor shall provide medical evaluation services in accordance with Section C of the Performance Work Statement. The fully burdened hourly rate of a Psychologist is _____________. The fully burdened hourly rate of a Psychiatrist is ______________.

TOT ESTIMATED PRICE

CEILING PRICE

FFP

The Contractor shall provide medical tests in accordance with Section C of the Performance Work Statement.

NET AMT

Lot

COST

ESTIMATED COST

FFP

NET AMT

Section C - Descriptions and Specifications

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

FOR

PERSONNEL SECURITY (PERSEC) MEDICAL EVALUATIONS

21 July 2015

1.0 SCOPE

1.1 Background

This requirement is to provide personnel security related medical evaluation services in support of the Naval Air Warfare Center Weapons Division (NAWCWD) Personnel Security (PERSEC) Office and the Department of Defense Central Adjudicative Facility (DODCAF). The services will be provided for civilian employees and military members at NAWCWD China Lake and Point Mugu, CA sites. The China Lake site of the NAWCWD and the Naval Air Weapons Station (NAWS) China Lake are located adjacent to the City of Ridgecrest, approximately 150 miles north of Los Angeles in Southern California’s Mojave Desert. China Lake has various remote sites that are located within a 50 mile radius of the main complex. The Point Mugu site of NAWCWD is located on the Pacific Coast, approximately 53 miles northwest of Los Angles, California. Point Mugu has a remote site located at San Nicholas Island (SNI), off the coast of Southern California.

1.2 General Scope of Work

This contract is to provide professional medical evaluation services through the NAWCWD PERSEC Office for civilian employees and military members at China Lake and Point Mugu, CA. The purpose of this requirement is to determine eligibility of DOD military and civilian personnel, affiliated with the Department of Defense, for access to classified information, Special Sensitive, Critical Sensitive, Non-Critical Sensitive, acceptance or retention in the Armed Forces, assignment or retention in Special Sensitive, Critical Sensitive, Non-Critical Sensitive duties, or other designated duties requiring professional medical evaluations. The contractor shall provide the requested medical evaluation utilizing professional standards, testing, and tools in assessing an employee then provide a written report of their findings to DODCAF via NAWCWD PERSEC. The contractor will not bare the weight of determining the final outcome of evaluation results. Rather, DODCAF will use the evaluation results to determine the employee’s eligibility to access and safeguard information relating to National Security and make final security clearance determination in accordance with DoD personnel security policies and procedures as set forth in the DoD Instruction 5200.2-R.

The PERSEC medical evaluations are necessary in assessing an employee’s eligibility to obtain or maintain access to information related to National Security and DoD Information Technology (IT) systems. Depending on the specific circumstances, an employee may require a medical evaluation to assist in the determination of factors that could affect job performance and/or conduct. The evaluation shall encompass one or more of the following areas but are not limited to: medical, psychological, psychiatric, emotional, sexual conduct, or substance use conditions which could impair his or her judgment, reliability, or trustworthiness.

1.3 Contract Work Environment

It is anticipated that work under this contract will be performed at the contractor’s facility within commuting distance of NAWCWD China Lake and NAWCWD Point Mugu, Ca. Employees must be able to commute to the contractor’s office within the local commuting area of NAWCWD at China Lake and Point Mugu. For the Point Mugu site, employees will be transported to China Lake via Navy provided air shuttle services. For those employees who are unable to utilize the Navy air shuttle, the contractor will be required to travel to Point Mugu and will be reimbursed travel expenses in accordance with Joint Travel Regulation (JTR) Per Diem rates, in addition to their contracted service charges. For San Nicholas Island (SNI), the government will be responsible for transporting the employee when there is a requirement.

2.0 APPLICABLE DOCUMENTS

The following is a list of the required applicable documents for PERSEC operations:

(1) DOD Instruction 5200.2-R

(2) SECNAVINST 5510.30

(3) 5 United States Code (USC), Part 552A (Privacy Act)

3.0 REQUIREMENTS

For the purposes of military service standard and in compliance with DoD personnel security policies and procedures, the Government requires professional medical exam services for NAWCWD civilian employees and military members as stated in the following paragraphs.

3.1 Referrals. The contractor shall provide professional medical exam services as requested. All requests will be made through the NAWCWD 7.4 Security Office at China Lake, CA. The contractor shall not accept requests for an evaluation unless the Contracting Officer Representative (COR) or Technical Point of Contact (TPOC) or Alternative Technical Point of Contact (TPOC) has authorized the evaluation and assigned a billing number.

3.2 Expertise. The contractor shall maintain a comprehensive mental health care operation that includes the expertise sufficient to diagnose or recommend actions as a result of the medical examination.

3.3 Medical Evaluations. A medical examination is required for an employee when potentially disqualifying information regarding behavior, mental, or emotional disorders, or substance abuse is discovered. A medical evaluation is then required to determine whether any medical, psychological, psychiatric, emotional or other condition exists, which could affect the individual’s judgment, mental stability, or reliability.

3.3.1 The contractor shall perform evaluations which will include various psychological tests, e.g. Minnesota Multi-Phasic Personality Inventory, 16 Personality Factor test, and Mental Status examination including history and security related questions. Tests will be requested by DODCAF, COR, TPOC, or ATPOC. The contractor may administer additional tests upon request and approval by the COR, TPOC, or ATPOC. The contractor shall provide the completed medical evaluation report to the COR, TPOC or ATPOC within two weeks after the employee has been tested. The report shall be submitted to the Government in accordance with Contract Data Requirements List (CDRL) A001.

3.3.2 Once notified by the COR, the contractor will then conduct an evaluation concerning one of the areas as determined and requested by the COR. The applicable medical considerations listed below may be helpful in conducting the evaluation. The factors may not be all inclusive and the contractor need not limit its evaluation or examination to these issues. Any information, which would assist in the adjudication process, would be most helpful.

3.3.3 As the contractor, you will be provided with sensitive detailed information concerning the employee. This information shall not be released to the individual or anyone else, and it may not be copied or retained in the evaluator’s files. Also, be advised that the Government is seeking your medical diagnosis and prognosis with an emphasis on judgment and reliability. The Government is not seeking a medical recommendation as to the individual suitability for employment or security eligibility. It is more important for the contractor to address the following elements which are listed under the section “Types of Evaluations/Evaluation Elements.” Reports need not be lengthy; however, all reports must be:

1) Completed by a qualified examiner (psychiatrist or psychologist for a psychological/Medical evaluation;

a psychiatrist, psychologist, social worker, or physician for a Substance abuse evaluation);

2) Informed by all available information;

3) Complete, including all elements listed below;

4) Internally consistent, with the recommendations following from the evaluation data.

3.4. Types of Evaluations/Evaluation Elements. The applicable considerations listed below are identified as conditions that could raise security concern and requires to be adjudicated in accordance with the adjudication policy guidance in the DOD Instruction 5200.2R, to determine whether a person is eligible for access to classified information, access to DOD IT systems, or assignment to sensitive duties. These factors may not be all inclusive and the contractor need not limit its evaluation or examination to these issues. Any information, which would assist in the adjudication of the case, would be most helpful. The contractor shall conduct an evaluation concerning the areas below.

3.4.1 Mental/emotional Issues. If the issue involves mental/emotional conditions, please provide the following:

1) an outline of the methods used in the evaluation (i.e. psychological testing/clinical interviews);

2) a narrative case history of the subject’s condition;

3) results of any psychological tests;

4) the date of onset of the condition;

5) the subject’s current treatment plan including frequency of psychotherapy, medication and dosage, etc.;

6) the subject’s degree of adherence to the recommended treatment plan (e.g., medication, psychotherapy, Electro-convulsive Therapy (ECT); Transcranial Magnetic Stimulation (TMS), etc.;

7) if the subject’s participation in treatment was voluntary or involuntary;

8) a DSM IV-TR or DSM 5 (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision or Fifth Edition) diagnosis, if applicable;

9) a prognosis regarding the subject’s condition; (e.g., poor, guarded, fair, good, excellent);

10) whether the subject's condition is under control or in remission;

3.4.1.1 Under the circumstances specified, the contractor shall provide the following information:

If the individual's condition is currently under control or in remission: Indicate the probability of recurrence or exacerbation; and indicate whether ongoing treatment is recommended.

If the subject does not have a formal diagnosis of a disorder: Does the subject’s behavior nonetheless cast doubt on his her judgment, reliability or trustworthiness? These behaviors may include, but are not limited to emotionally unstable, irresponsible, dysfunctional, violent, paranoid, or bizarre behaviors. If so, the contractor shall specify the nature of the subject’s behavior and how it could impair judgment, reliability or trustworthiness.

3.4.1.2 The contractor shall conclude its report with a clear statement addressing whether the subject’s emotional condition could affect his or her judgment or reliability.

3.4.2 Sexual Conduct Issues. If the issue involves sexual conduct issues, the contractor shall provide the following information (in addition to the above):

1) What is the history or extent of the conduct?

2) Is the subject unable to stop his or her behavior?

3) Is the behavior symptomatic of a personality disorder?

4) Is the conduct likely to recur? If so, under what circumstances?

5) Has the subject sought help for his or her condition?

6) If so, did the subject voluntarily seek treatment?

7) Is the individual aware of the seriousness of the conduct?

8) Is there clear demonstration that the individual has no intention of participating in such conduct

9) in the future?

10) Is the subject involved in any continuing treatment to reduce the risk of recurrence (e.g., pharmacotherapy, psychotherapy, SA, relapse prevention programs, etc.)?

11) Can the individual's conduct be a basis for vulnerability to blackmail, pressure, or coercion?

3.4.2.1 If the individual's condition is currently under control or in remission: Indicate the probability of recurrence or exacerbation; and indicate whether ongoing treatment is recommended.

3.4.2.2 If the subject does not have a formal diagnosis of a disorder: Does the subject’s behavior nonetheless cast doubt on his or her judgment, reliability or trustworthiness? Is the subject’s sexual behavior:

· Compulsive

· Self-destructive

· High-risk

· Reflective of a lack of discretion or judgment

· Of a criminal nature (whether or not the individual has been prosecuted)

3.4.2.3 The contractor shall conclude its report with a clear statement addressing whether the subject’s sexual conduct could affect his or her judgment or reliability.

3.4.3 Substance Abuse. If the issue involves substance abuse, the contractor shall provide the following information (in addition to the above):

1) What is the subject’s current level of alcohol/drug use?

2) Has the individual had substance related work incidents, such as reporting for work/duty in an impaired condition or using substances on the job?

3) Has the individual had substance related non-work incidents, such as driving while under the influence, fighting, child or spouse abuse, disturbing the peace, or other incidents of concern?

4) Has the individual engaged in habitual or binge substance use to the point of impaired judgment?

5) Has the subject failed to follow court orders regarding alcohol education, evaluation, treatment, or abstinence?

6) Has the individual's physical or mental health deteriorated as a result of his or her substance use?

7) Does the subject acknowledge his or her issues of substance use?

8) Under what circumstances is the subject’s substance use likely to recur?

9) Can the individual's substance abuse be a basis for vulnerability to blackmail, pressure, or coercion?

10) Is the subject following treatment recommendations any continuing treatment to reduce the risk of relapse (e.g., pharmacotherapy, psychotherapy, AA, relapse prevention programs, etc.)?

3.4.3.1 If the subject meets criteria for a DSM-5 substance use disorder, the contractor shall identify the severity of the condition (e.g., Mild, Moderate, Severe) and provide the following information:

· What is the subject’s prognosis?

· Has the subject recently shown evidence of substance withdrawal (per DSM 5 criteria)?

· Has the subject relapsed after receiving a prior substance abuse diagnosis or completion of a substance use rehabilitation program?

3.4.3.2 If the subject has shown evidence of excess alcohol consumption - whether or not the behavior met criteria for an alcohol use disorder - the contractor shall provide the following information:

· Has the subject established a pattern of abstinence or responsible use of alcohol?

· Is the subject’s current pattern of alcohol use in accordance with treatment/legal recommendations?

3.4.3.3 If the subject has shown evidence of illegal drug involvement or misuse of a prescription drug - whether or not the behavior met criteria for a substance use disorder - the contractor shall provide the following information:

· Has the subject used any illegal drug or misused any prescription drug after being granted a security clearance?

3.4.3.4 The contractor shall conclude its report with a clear statement addressing whether the subject’s alcohol consumption or drug involvement could affect his or her judgment or reliability.

3.5 Time Frame. The contractor shall initiate evaluation services within five working days (based upon the NAWCWD work schedule) of request.

3.6 Key Personnel/Changes in Staff. The contractor shall notified NAWCWD in writing immediately when there will be a change in staff that impacts this contract. Replacement of key personnel must be approved by the COR and the Contracting Officer.

3.6.1 A requirement of this contract is to maintain stability of personnel proposed in order to provide quality services. The Contractor shall agree to assign only those key personnel whose resumes were approved by the COR and the Contracting Officer and who are necessary to fulfill the requirements of the effort.

3.6.2 If personnel for whatever reason become unavailable for work under the contract for a continuous period exceeding thirty (30) working days, or are expected to devote substantially less effort to the work than indicated in the proposal, the contractor shall propose a substitution to such personnel.

3.6.3 The contractor shall agree that during the term of the contract, no key personnel substitutions or additions will be made unless necessitated by compelling reasons including, but not limited to: an individual’s illness, death, termination of employment, declining an offer of employment (for those individuals proposed as contingent hires), or family friendly leave. In such an event, the contractor must promptly provide the Contracting Officer with a detailed explanation of the circumstances necessitating the proposed substitution and a complete resume for the substitute for approval prior to the substitution or addition of key personnel.

3.6.4 All proposed substitutions shall be submitted, in writing, to the Contracting Officer at least fifteen (15) days (thirty (30) days if a security clearance must be obtained) prior to the proposed substitution. Each request shall provide a detailed explanation of the circumstances necessitating the proposed substitution, a complete resume for the proposed substitute, information regarding the full financial impact of the change, and any other information required by the Contracting Officer to approve or disapprove the proposed substitution. All proposed substitutes (no matter when they are proposed during the performance period) shall have qualifications that meet the education, license, experience and certification requirements in this Performance Work Statement (PWS).

3.6.5 The Contracting Officer will evaluate requests for substitution and addition of personnel and promptly notify the contractor, in writing, of whether the request is approved or disapproved.

3.7 License. Clinicians under this contract are responsible for maintaining a current clinical license to include obtaining continuing education units (CEUs) as required by their discipline and licensing body. Licensing fees and other costs related to maintaining a current license are not the responsibility of the government.

3.8 Roster. The Contractor shall provide a roster of contractor personnel employees under this contract to the COR not later than the contract start date. The roster shall include employee name, social security number, date of birth, place of birth, driver’s license number, position title, security clearance (if applicable), home address and phone numbers. The personnel roster shall be updated and forwarded to the COR as changes occur and within 24 hours of changes of Key Personnel. The updated personnel roster shall be submitted to the Government in accordance with CDRL A002.

3.9 Misconduct. The Contractor shall immediately report to the TPOC information regarding alleged or confirmed misconduct of any contractor staff.

3.10 Individual Credentials File (ICF). The contractor shall establish and maintain an ICF for all contractor personnel. The ICF will contain items such as a copy of pertinent diplomas, current licenses, proof of liability insurance, results of credentials review and privileging and verification of continuing education. The contractor is responsible for ensuring the NAWCWD Security receives a copy of all information placed into the ICF for every individual under the contract.

4.0 LABOR CATEGORY QUALIFICATIONS

The vendor shall submit labor category titles and functional responsibilities for all labor categories proposed under the contract that meet the minimum qualifications listed below.

4.1 Psychiatrist minimum requirements: Psychiatrists must have an MD degree, be licensed in the State of California as a physician, be a Board Certified (American Board of Psychiatry and Neurology) and have a minimum of 7 years’ experience (5 of which must have been continuous immediately prior to the date of this contract)

4.2 Psychologist minimum requirements: Psychologists must have a Ph.D. degree in Psychology, must have been licensed and practicing in the United States of America for the last five years, and be licensed to practice psychology in the State of California.

4.3 Security Clearance Requirements

4.3.1 All position/labor category equivalents require a security/interim secret clearance level within 30 days of contract award.

5.0 RELEASE OF INFORMATION

The contractor shall provide full access to all information regarding the employee and shall disclose and discuss any and all details/findings with the COR, TPOC, ATPOC and DODCAF staff personnel assigned to the case, while protecting this information from all others.

It is important for the subject to be informed about the limits of confidentiality. This is best accomplished by the clinician including a statement in his or her report which indicates that the subject has been informed that the purpose of the evaluation is to determine whether the subject may have a psychological condition or substance use disorder which may reasonably impact his or her reliability and judgment, particularly as these factors may pertain to performing sensitive National Security duties. The evaluation is not being conducted for the subject's clinical benefit; as such, the subject should have no expectation that the information that he or she provides to the examiner will not be shared with those who have a need to know (e.g., NAWCWD Security Department personnel, COR, TPOC, ATPOC and DODCAF).

If the individual requests a copy of any investigative files, or other information provided for your consideration, please refer him/her to their Command Security Manager. Under no circumstances may you release this information to the individual. If the individual requests a copy of your medical evaluation, please follow your facility’s standard procedures for release of that information.

5.1 Consultation. Based on the outcome of the medical evaluation, the contractor shall advise and consult with NAWCWD management to identify problem areas and develop strategies for successful resolution in areas of mental health programs, wellness programs, psychological suitability of personnel, and other related areas as required by the TPOC.

5.2 Testimony. The contractor may be called upon to testify at administrative hearings to provide expert testimony on psychiatric information concerning employees who have been referred for evaluation under this contract. A minimum of one hour billing time may be billed.

5.3 Records/Case Files. All records of PERSEC are under the jurisdiction of the Commander, NAWCWD. Records shall be available to the PERSEC TPOC immediately upon request. All clients’ records shall be submitted to the TPOC on a quarterly basis with any exceptions being addressed to the TPOC. Upon completion or termination of the contract, the contractor shall surrender all records to the PERSEC TPOC within 14 days. Clients’ cases may only be discussed by professional PERSEC staff for case management purposes. Confidentiality of clients shall be protected.

6.0 REPORTS, DATA, AND OTHER DELIVERABLES

6.1 Medical Evaluation Report (CDRL A001)

6.2 Contactor Personnel Roster (CDRL A002)

7.0 TRAVEL

7.1 Local travel to Point Mugu, CA will be required as needed to evaluate NAWCWD employees who cannot travel to China Lake, CA for evaluation.

7.2 The contractor shall obtain approval from the COR prior to going on travel.

8.0 QUALITY SURVEILLANCE AND PERFORMANCE STANDARDS

A Quality Use Assurance Surveillance Plan (QASP) will be used by the Government to provide surveillance. A copy of the QASP is provided as Attachment 1, in Section J, for informational purposes only.

NOTE: Billing is separate from the required invoice required in Section G for contractor payment. None of the following information is to appear on the invoice submitted to Wide Area Work-Flow (WAWF):

Billing Case Number, Date of Referral, Date of Service, Number of Hours and the Employee Name and/or Event or Activity must be provided. Billing Hours for Security Evaluations will show the actual number of hours required.

A Billing Case Number will be assigned when applicable. A Case Number will be assigned when DODCAF or management has requested an evaluation or consulting for intervention. Nature of Work, Number of Hours, Employee Name and/or Event or Activity, Supervisor Name and/or Event or Activity must be provided.

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLAUSES INCORPORATED BY REFERENCE

Section F - Deliveries or Performance

DELIVERY INFORMATION

28-OCT-2016

28-OCT-2016

28-OCT-2016

28-OCT-2016

28-OCT-2017

28-OCT-2017

28-OCT-2017

28-OCT-2017

28-OCT-2018

28-OCT-2018

28-OCT-2018

28-OCT-2018

Section G - Contract Administration Data

(Contracting Officer: Insert applicable email addresses or "Not applicable.")

Section H - Special Contract Requirements

Section I - Contract Clauses